I wanted to ask you if you have ever had tear trough filler and what was your experience? My dark circles/ hollows are of real concern to me and I’m considering this procedure with Dr Sophie Shotter who does my toxins. Your list of things that could potentially go wrong is horrifying and is preventing me from going ahead. How do I know if my body may react to the filler/ form lumpy bits as you mention? I trust Dr Shotter’s technique and that she (hopefully) won’t give me necrosis/ vascular occlusion, but how can I be sure this won’t happen to me? I’m 52. I also would like to know if you’ve had filler to soften your nasolabial lines?

Hi, I’m so sorry to have scared you with the list of things that can go wrong with/ after tear trough filler but I feel it’s really important that people should be informed and aware of all the potential issues around any tweakment before they go ahead and book in for it. You would be told all these things at consultation stage and/or will find them all listed on the consent form that you will be asked to sign before going ahead with any treatment.

Tear troughs are tricky. Some people are great candidates for tear-trough treatment but others aren’t, so it’s important to pick a practitioner who knows how to treat appropriately. The practitioner you mentioned is very good and is very unlikely to leave you with any of the problems that you mention, or if by some unfortunate chance a complication occurred, she has all the skills and knowledge needed to spot it and correct it asap.

I’ve had successful tear-trough treatment over the years – though the first time I wrecked it through ignorance. I went and had a facial a day after treatment with a facialist who did fabulous strong massage… and even though I asked her to avoid the eye area completely, the treatment shifted the placement of the filler enough for it to show up as a shadowy bar in the wrong spot. So I had to get it dissolved and start again. But pick the right practitioner, and you’ll be fine.